Subdivision Final Stage Application e
Final Stage RevIsed April 2010
Subdivision Review Application
Final Stage
RENEW IPROGESS:
1) Required! Pre-submission meeting With staff to determine general completeness to be held no toter
than I week Prior,to deadline deg. all (51 ) 761-8220 for ain a$>polntment
2) Submittal of complete application: I original and 14 copies of the application package by monthly
deadfine.
3) Determination of application completeness. All necessary information must be provided and
appropriate feeds,) paid for cons,ideration,for placement on aunty agenda,for that month.,
4) Ingmglete applications W L11 ngt_ be considered for Qlacement on any agenda unfil all mfs.,sing
info�nn !on has been submitted.
5) Planning Board meeting, generally the!third &fourth Tuesday of each month. You will be advised in
writing as to which meeting to attend.
6) FolloWing the meeting you will be provided with a copy of the resolution sWing the Board's decision
on your ap licatioin. If your application was denied your,project cannot proceed as submitted.
DOCUMENTATION RLWIRgMENTS:
I) Please submit 1,gdg[nal & 14 coples of the completed application package to includie,
Complejo &2igligation: pages 1-5 completed, signed &dated
Pre-Submiss19D ftling Notes-, signed by staff
Copy of Deed: I
amr—yem
ft $1010 + $50 per lot
ZONING STAFF & CONMUINEORMATION:
Craig Brown, Zoning,Administrator Graigb@gueenZbuEy.ng1
Laura Moore, lLand Use Planner ImooLe@gueeinsbu[y.net
Pam Whiting, Office Specialist 518-761-8220 ipamw@gueen,sbury.net
Visit our website at www.g ueensbu[y.net for further information and forms,
To" of'Queensbury IF lanrdng Office- 742 ay Road, Queens bury, NY 1 4,- 518-761 0 0
Final Stains Revised.April 2010
Geneml Information
Tax Parcel ICE Number: 01 11 " 19, we
Zoning District: An
Application Stage fcbe njr ]:
Sketch Plan Stage
Preliminary Stage
Final Stage �
to the following: �-�
Number of lints Proposed
Residential or Commercial
Total Lot acreage
Proposed lot sizes g & �
Project location
Ct ip d �I cription of Project [Inolude current proposed use]:
;ID,,
p " Address,lint N' rrM4`„ oc,
F Iwrra PS'ru� ;"
ft'rk Phone Fax
E-R l"
w H u
Home Pena Cell,
7675
- all
Ad
06
Fiiome Pktueuri6 Call
Work PK he IFaI
Tarr of Queensbury PIa nnnrrg Office, 742 Bed?.Road° ueenelbrrry, NY" 12W4 1&761 0 1
Final Stage Revised April il'lil
ITEM TO BE:IDENTIFIED Y STAFF DURING P149-S iBMI-SSIOfN M E INN
Y ou should uise this page for guldanuce when dreftlring.y our appli go in;however.It+vrili be!completed by a staff rrream ter.
ubmild it of a plfW lni,ary plat depiclirng existing and proposed conditiom shall Include the Itms as noted below.
elture 'lo Include all required intorm;9fioo may, molt in a determin6tiom of Incompleteness end a dewy In the
processing of youuir application-
All 93,4 . Plat details and req uireraranila.
The apptloant Is required to submit Dose (1) iodginal and fourtoen (14) caoples of the floral plat a ploftation, Suph
application strap Ineiude the follomving d0owments aradaaor Informatlorrn
A. FINAL, PLAT, The final plat shioll be laaid out by a licensed professional anginoer ww th o properi exei�uted New
York State IEducation Department.gxernpflon,N or a tioimsed land surveyor. Such feral;plant shall be pfegared at a
scale of one it h equals Sri feet zero'M,ches,clearly shoi
(1)The bearing and langtb of all straight lines and the radl lehUthis and central ANIes of an curves alcng all
property and street lines.
The area of each lost In squuare feet or In acires,if s,raachr lot Is larger than one vice,
(3)"The tonne ion propar measurement between street center Ilnes whede such streets ore not stralght ainross
an Intersecting street.,both Within the subdivision and where opposite existing streets or subidI lone,
( )A system of monuments to be located at all corners of Intersections and angle paints,.
(5)The.boilding setback limas fbT each lot
(6)Flra and schroot district bourdaa'leis%Whln the subdivislon area.
xlstIng zoning,wufthr the lociabon of any dWdct boundaries within 200,feet of the property to be subdivided,.
(8,)The boundaries of the property, the lines of proposed' lots, streets and parks. and the lime of all aoljolnln
streets,their names and i survey,loocauallons.
The mares,of aN slubdirrlstrins.IrmrnedFately adjacent and opposite our,X not suibdlwided,the names of the o uar
of record of adjacent and oppo►alde property,.
(tg)A statement that the plan Is In compliance With the Town of Queensbury Zoning lama,
aairrna�nanmi'ngoerd o tins,Torre ouf Iue�ensury.�Nao�! 0
nesniutlrr adopteut
t l stelrrmurent readlrou
(1 )A Vile block, showaing lire name of the subdivision,,the owner,the scale,they date and Nlorth point.
(f ), eertl'fleate of the licensed engineer andffit land surveyor making sudh,plan to the,effect that tare plan Is
correct and made from an actual survey"the Wense number and,seal of the eniginear and landau rveyor shall be
affixed to the d!ravuiing.
S. ENDORSEMENT F STATE AND COUNTY AGENCIES. Evidence shaff be supplied that any props eof der
supply and sewage Wspoi fao:llithoss associated W'th the subdlvIslon plat ray trdrirog appmVal by the Department
of Environmental Conisa on and/or,New York State Deppertarnertl of Health have r elved at least Apra minaryr
Quaisn b design a o n y proposed � r 1paply and star� use disposal facility shaail meet tha T of
approval(a) s ra+ ruirod have been atuftnU�ed
ry our} strrua noun standards for such facdlity. ditotr"s Note:See Ch. 136, Sewers and Sewage
D sposat, and into,, l " , 'WOW, The plat shall not be stamped approved unfil all state-or coounly-required approvals
for each loot of the subdIMslon haive been received in, vaallirng by the Manning Soard.
Town,orf'aGueen bury Planning offloer 742 Day l oa'°Oueensbury.NY 12,804,S!118-761-0220
Finat Stage Revised ApHi 20 101
0. OTHER PLANS AND REPORTS, Mw plans and reports,shall be subm,Kid as f0l1QWW,
(A3&,LNf-4f 111)A planting plan Wilustrating species and location of proposed tree planting
,1,2gip A tree clearing!plan Illustrating areas and methods:of proteetlon of"sling trees,to remain.
(3) An eroWon control plan Illustrating methods and location of erosion control devices and saiedule of
mWenance of such dWcas and other actions to,reduce emi
(4)A stormwater management plan and a pollution,prsvenflon plan mailstenj v4tb the requirements of Town of
QuisansWry to ter Management Well Low,and With the terms of pirefini plot approval.
(J)Construcklonj ptaqjL sihovVing gradingand othersile ImWovernants andd"Is of thiose site ImprovementS..r
0. 14 the: subdivislon Is 'to Indlude arty PROTEOTED, OPEN SPACE. all appropfjate easements, deed caivenants,
wndltions and restrictions approved by ft Planntri Board andkir the Town Attorney related to si,4b-protected
lands,
E., HOMEOWNERS'ASSOCIATION OR CONDOMINIUM AGREEMENTS. if the subd IvWon Is to be managed by a
boni or condomlinfurn.copies of their regulations and agreements,Indicating any rWrl'Oofls
ItIA- required by the Planning Board. shall be submitted. If the subdIvIision Is to be sold fee simple, copies ,oaf dead's
in,d1cating any VeStiricftn$r8"IF11i by M Plilinning Board shall be submWlet
K STREETS,RECREATION LAND,OR OPEN SPAC�E.
AAA- (1),The plat shizoll be ervaorsed with 11he,necessary agreem,enjis In,cormection With required ea"ments or releasos.
Offlars of dedication to,the Tom shall be prosai prior to plat approvat Format offers of dedication to the Town
of all streets and parks, not m,ewilked on the pleat VALh noultion to the effect that zuieh,ded1calion,vA not be offered,
shall be filed mouth the Planning Board prior to,plat approval. If the owner of the land or his agent who files the plat
does not add as pail of the plat a notation to,the sli that nc>offer of dedication of such streets, hIghivays a
parks„or any of them, is made to,the public, the filing of the plat In the office of the County Clark at register shalt
consMule awritinulng offer of dedl"llon of the streets,highways or part,or any of them, to the puW1c, and said'-
:offer of dedicatton may be accepted by the Tom Scord at anytime prior to revocallon of said offer by the owner
of The lend or his agent.
(2) The approval by the Manning Board or a subdivision plat shall not be d'aamod to constitute 0r Imply the,
acceptance]by the Town of any street park, playground or oMer,open space shown on, "id plat.The Plar1fdrig
Board may require sold plat to be endorsed WM appropriate notes to(his,effect.If the Town Board dalerminas that
a,suitable park or parks of adequate size cannot be property located in,any tech plat or is otheri not pracdcal.
the Boarof may require, as a condillion to approval of any such Plat, a payment to the To" of a sum to be
determi the Tow. wililich surn shall constifule a trust N14d to be used by the Town Board sWusively for
neighborhood park.ptaygmund or recreatton,purposes,Including ft scqtftiffoin of property, The Planning li
may require the Ming of a Man agreament between the appilcant and thie Tvwo Board covefingfulure fifle,
dedication end provision for the colist of grading,, development, equipment and rinalmepiance at: any park or
playground area,
G. FEES.
ti (1) The applicatIon fat, final plat approval shall be accompanled 6y a -fee as, estabilshed by the Town Board by
-1-3 rasi and as listed an the catractgehedule of fees for the Tmn,of Oueensbi4ry posted In the PlannIng Office.
(2) to a4dVion to the fee Noted on the Whedofe of fees, the Planning Board may charge, a fee to developers of
projects requiring legal and technical review,provided jhid;the fee chajad rollei the actual tWt Of the Wgal and
technical assistance to the Planning Board.
To of Queen3bury Pia nning'Ofte- 7'42 Say Road-Cueardbuiry.NY 12804-510-701-8220 1
Final Stage Devised Apidl' 10
C_Onfurence,Form
I" Tax Map 10
Z zonIng C lassliicadon
4. Oridiaas!ra Irxrr
5. Pr S bin'dsslon Medng I'bt ;OWStandl g hems To Be Addressed Include:
. GenenM Information � eS
3. Knal Plat Details&l qu�irerrrsrrls Ye$ Noi
4. Finial Plat 77 yas
N*
5, En dome rui of StaW&County Ageniclss #5 —No
6. Other Flans&Repwu yes No
7® Prat tad iOpenti space cume:rnts Yes No
8. Homeowners Amoo.,or Coadamiasu mi Agreements, Yes -No
. ; tram„ Revestion Landor Open Space Yes o
10,. Fees Y'es —No
No
11. Signature Pa" Yes 140
COY ;,
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A ', i
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A_- (.Ant
-staff RepresieluatWe"
Deer
Town of Chwerw9bury,PlannIng Office-742 Bay:Rund•Ouieensb ury.NY 12�0104.5'1s-761,-B= 4
Final Stage!ReAsed April 2010
Signature Page
This page Includes, 1.),Authorization to Act as Agent Form', 2,) Ellneering Fee Disckysure; 3.),Authorization for Site
Visits,, 4.) Other Permit Responsibilities; 6.) OfficWl Meetlog Disclosure and 6.) Agreement:to provide documentation
requked.
OwfleR's AGENT Fokm:�
Complete the folloyAng If the OWNER of the property Is not the same as the appricant
Owner
Designates:
As agent regarding, —Varlarpoe Site Plan—Subdivlskn
For Tax Map No-, —Section —Block —Lot
Deed Reference: Book _Page _Date
OWNER SIGNATURE,--, DATE�:
APPLICANT's A43ENT FORM
C*rnplete the folloWng If the APPUCANT Is unable to attend the meeting or wishes to be represented by another
party'.
Owner, <f.A&
DesIgnates., fe,%"V�r�,s
As agent regarding., Variance Site Plan Subdivision
For Tax Map No.:, Section Block Lot
Deed Reference', Book Page Date
OWNER SIGNATURE, DATE.
2J--rSKP[NggB1NQ E1,1 PjRq6QjU8E,: Applications m,ay te referred to the Town oonsulting:engineer for review of Septic design,.
st,orin dirainage, eta as determined by the ZofuJng or PlamWng Department. Fees for engineering review services will be charged
directly to the applkam. Fees for engineering review will not exceed$ 1,000,withoul notification to ft applicant,
3.1 AUjHQHjZATjQN.,f98,Sl'rE VISITS: By signing this page andsubmitfing ft application malerWs attachad herein. the
Owner Applicant, and his&edtheir agem(,z) hammy authoriz e the Zoning Board or Planning Board aM Town Staff to efitef the
subjeci propefts for the pu:We of reviewing the applkation,subaNtled,
4.1, OTKgR-EERM MUM WAMP, Other permb may be required for construction or alteration ac1tvity 3u4seqvant to
approval by the Zoning Board or Planning8oard, it Is the applioanfs responsibility to obtain any additional p"lls.
§j 0EMIAL PAEETING MINUTIES DISCLOSURE; it the McOce of the Community Dovelopment Depadmnt to have a
desitinaW s*wgrapher tape r000fd the prooeeding&of meetings resuiling from appAcalWn, and min dag Iran scHbed from those
topes comftutes the oftial record of all proomdIngs.
gNgNj 19 PRQAQE RPCUMEjMjjQLJ Rgg3j1RED 1, the undersigned, have thorougf0y read and understand the
insin0ons(or submission and agree tothe sulorftsion requirements,I a�cknowiedge no stnxton activifies.shall be corrunammd
prior to Mvanoe of' a valid permIL I ceffify that the application, plans, and supporting matedats; are a true and complete
statemaint1des0ptlon of the existing oonditions,and the work,proposed,, and that all work will be performed in accordance with the
,approved plans and in conformance,with local zoning regullations, I acknowWqe that prior to ocoupying the:FadIffies pm posed.I or
my agents, will obtain a certificate of ocoupancy as necessary. I also underotard that Me may be required to proviPde an as-buillt
survey by a licensed land surveyor of all newly comttucled facd1lies prior to issuance of a Ceaficate of occupancy
I have read and agree tope
t a Print Nme a (Appikant) Cate sign al
"r7
A
SIg fudrd[Agent] PrTnTtWam—e[Agent] D ;e *iied
Tom of Queensbury,Plannlng Offloe- 742 Bay Road-Queensbury. NY 12804, 518-761-6220